Detroit Free Press Medical Writer

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Another fungal meningitis-related death has been reported in Michigan, bringing the total to 11. The 87-year-old Washtenaw County woman died Sunday, according to the Michigan Department of Community Health.

Her death was reported to public health officials today.

Michigan has reported 233 cases to the U.S. Centers for Disease Control & Prevention, including the 11 deaths, as part of a national investigation into contaminated preservative-free MPA steroid injections produced by a Massachusetts pharmacy. In addition to the 11, three additional Michigan residents died, but their deaths are being counted as Indiana cases because they sought treatment in that state.

Across the U.S. at least 656 people were sickened, leading to 39 deaths, according to the numbers released Monday by the CDC. Those numbers do not include Michiganís latest death.

No new meningitis cases have developed in recent weeks in Michigan, but patients continue to return to the hospital with abscesses related to the original infection, said community health spokeswoman Angela Minicucci.